Dr. Michael Rohwer

Opinion: Initiative in Marion and Polk Counties Help Families, Neighborhoods

The Fostering Hope Initiative works to repair problems at their root through a collaborative approach on the ground.

An initiative in Marion and Polk counties has a solution to strengthen at-risk families and build more resilient neighborhoods.

The Fostering Hope Initiative brings multiple partners together around a common goal, aligning resources and sharing leadership for planning and results.

Beyond payment reform: An innovation challenge for insurers

This article is the fourth in a five-part series. It follows “Purpose driven self-organizing healthcare” which explained what an adaptive delivery system might look at. This article describes the insurance model necessary to sustain it.

OPINION- The relationship between purchasers, providers, and consumers is dysfunctional.

Purpose Driven Self-Organizing Healthcare

This article is the third in a five-part series about a new model for sustainable healthcare delivery. The last article “Ashby’s law and the first step to affordable healthcare” explained why we need delivery networks as adaptable as delivery’s environment.

OPINION -- All of us and everything around us simultaneously participate in many networks and systems. Technology has extended what we refer to as a system, but the idea of connecting people, tools and resources to achieve a purpose is ancient.

Ashby’s Law and the First Step to Affordable Healthcare

This article follows “A tale of two systems”, published in a prior edition of The Lund Report. This article explains the first fundamental change necessary for successful management of healthcare delivery. It is also the first principle of the Curandi Model™, a “systems thinking” approach to healthcare reform.

OPINION-- Within healthcare delivery the patient-centered primary care home is improving care and lowering cost. And, in social services, co-location with clinical services similarly improves outcomes and lower cost. Why aren’t these innovative micro-system improvements resulting in premium decreases?

A Tale of Two Systems

To create real and lasting change, we must question our fundamental assumptions.

OPINION -- The work of Curandi is to transform healthcare into a living system that works. Today, we manage healthcare with industrial-age ideas.

Business Should Attend the June 24 Oregon Health Forum Breakfast

Michael Rohwer argues that the business community must begin to re-engage the problems of health payment reform. The upcoming Oregon Health Forum Breakfast is a vital and important starting point.

OPINION -- Everyone agrees: Healthcare is unsustainable in its current form. Its cost growth has been the top category of inflation for decades. It is in fact growing faster than the economy, and it cannot and will not go up forever. How did we get here?

How Complexity Complicates the Healthcare System

As of this time, there are inadequate requirements for interoperability, usability, or to measurable outcomes in quality of care delivered to the member.

OPINION -- “Doctors aren’t as smart as they used to be,” a financial advisor recently informed me. I thought he was going to tell me a story of bad investments. Instead, he talked about interactions he’d had with his healthcare providers. He noted how distracted they’d become.

Current Reform Efforts Are Not Sustainable

In this first-part series, the author maintains that we need to stimulate rethinking on how we view healthcare and do business, and that it’s essential to understand Complex Systems.

OPINION -- Healthcare reform has been a persistent failure. After four decades, the future of healthcare remains economically unsustainable. The physician workforce is demoralized and at the point of leaving.

Author Believes Clinically Aware Benefit Plans Are Advantageous

The Lund Report

OPINION -- February 22, 2012 -- Even before the Patient Protection and Affordable Care Act was written, coverage designed to avoid sick patients was becoming an unacceptable goal. A goal that most commercial benefit plans and claim processing systems use, assuming predominantly healthy populations, and preventing those that need the coverage the most from being adequately addressed.

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